| NPI | 1457705949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GITA PATEL-STEINGART Owner 850-933-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 12575) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |