| NPI | 1407427800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS LACEY Revenue Cycle Director 850-769-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |