| NPI | 1316943772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL MCKEITHEN Director, Business Practice Managem 850-495-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 273R00000X Psychiatric Unit | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2026-06-29 |