| NPI | 1043716046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE SCHNEIDER Owner 850-832-8597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW8397) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |