| NPI | 1700690971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURALI MADDIPATI Owner 850-526-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-18 |