| NPI | 1184804890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HALL Owner/Operator 850-547-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL AL9130) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-23 |