| NPI | 1245571181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SKIPTON Qa Director 850-766-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0237AD133807) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2022-02-14 |