| NPI | 1568038222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE R BARLOW Chief Executive Officer 850-833-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2025-09-24 |