| NPI | 1306348545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONECIA BAILEY Chief Operating Officer, COO 850-687-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-03-04 |