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 |