| NPI | 1760871537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ALDEN Mental Health Clinician 850-510-8627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC008177) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |