| NPI | 1194021857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD IRWIN FERRALL Director 850-521-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL OT 59) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL MA24604) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |