| NPI | 1659940377 |
|---|---|
| Doing Business As | LIFESPAN PSYCHIATRIC & INTERNAL MEDICINE SERVICES |
| Entity Type | Organization |
| Authorized Contact | JULIANNE FOLSOM Owner 850-566-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 207R00000X Internal Medicine | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-06-19 |