| NPI | 1295996072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON N ARSENAULT Managing Member 850-208-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9330) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |