| NPI | 1285814178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALINA WOJTYNA Owner/Operator 850-871-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL AL5223) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-23 |