| NPI | 1821455916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HUMPHRIES Owner 850-656-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW2363) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |