| NPI | 1225349434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MARTIN RABALAIS President 850-841-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL CH13571) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |