| NPI | 1649206954 |
|---|---|
| Other Name | LIFE MANAGEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWIN AILES Executive Director 850-522-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |