| NPI | 1316943772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BARLEY CFO 850-432-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2024-02-08 |