| NPI | 1922562628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH GAYLE POWERS Owner/Provider 850-797-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2022-10-24 |