NPI | 1659531689 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R HAMMONS Vice President 850-995-0211 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL Faith Base) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2008-06-12 |