| NPI | 1851769244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE SABITSCH Practice Manager 850-205-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |