Organization

Fisher'S Playhouse

Adolescent and Children Mental Health Clinic/Center in Fort Walton Beach, FL(View on Map)

Legal Business Name

Fisher'S Playhouse

NPI Number

1174378541

NPI Type

Organization

Enumeration Date

04/19/2024

Specialties

(Taxonomies)

Code

261QM0855X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1927 PATRICIAN WAY
1927 PATRICIAN WAY

City

Fort Walton Beach
Fort Walton Beach

State

FL
FL

Postal Code

32547-1036
32547-1036

Country

US
US

Telephone Number

(850) 972-8193
(740) 444-3981

Authorized Official

Name

Dempsey Fisher

Title or Position

OWNER

Telephone Number

(850) 972-8193

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/19/2024

Provider Address

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