Life Management Center of Northwest Florida INC
NPI #1659301877 in Blountstown, Florida
Provider Information
- NPI Number
- 1659301877
- Entity Type
- Organization
- Organization Name
- Life Management Center of Northwest Florida INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA INC.
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Apr 24, 2025
Practice Location
- Address
- 16869 NE PEAR ST
- City
- Blountstown
- State
- Florida
- ZIP Code
- 32424-1774
- Phone
- (850) 522-4480
Authorized Official
- Name
- EDWIN AILES
- Title
- EXECUTIVE DIRECTOR
- Phone
- (850) 522-4480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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