| NPI | 1528470408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY OTTE Executive Director 850-241-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW 10573) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |