| NPI | 1306085659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A ROBATZEN Psychologist 850-484-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL PY6482) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2010-05-12 |