NPI | 1275946535 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY WILUSZ Owner 850-301-0446 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH-2007) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2014-06-04 |