| NPI | 1922545029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETTA L MEEKER Therapist 850-982-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR P1701222) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |