| NPI | 1053203026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA CHEYENNE PACHECO Owner 850-716-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |