| NPI | 1679766430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD IRWIN FERRALL Therapist 850-521-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL MM11960) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |