| NPI | 1083278675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DENICE HUFFMAN-DOUGLAS Adn./Manager 850-272-8576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-05-12 |