| NPI | 1841694957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA LASSETER Office Manager 850-205-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME95372) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2017-10-24 |