| NPI | 1649279589 |
|---|---|
| Doing Business As | FORT WALTON BEACH DEVELOPMENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK FINNERTY Administrator 850-862-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 4024096) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |