| NPI | 1831324243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LYNN WILLIAMS Behavior Anaylst 850-445-9519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1-07-3715) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |