| NPI | 1740043876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE JOY TIGLAD Psychiatric Mental Health Nurse Pra 850-775-9345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |