| NPI | 1013367549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN NEIL GROOM CEO/Owner 850-433-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL ARNP9337357) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-07-19 |