| NPI | 1063901650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER CASTLE Therapist 850-631-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW6086) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |