NPI | 1568662864 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C CLUXTON Managing Officer 850-215-5657 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch 8571) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh-6603) |
106H00000X Marriage & Family Therapist (Licence: FL mt-0001678) | |
Enumeration Date | 2007-07-24 |
Last Update Date | 2007-07-24 |