| NPI | 1861893653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY DICKINSON Licensed School Psychologist 850-508-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SS621) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |