| NPI | 1841328796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARNET HOLMES Partner 850-478-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0002873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH0002659) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |