| NPI | 1467075291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM AUSTIN President 850-375-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 302F00000X Exclusive Provider Organization | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |