| NPI | 1558854141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HOUSTON Board President 850-556-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |