| NPI | 1659572253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN PORTER Director 850-784-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH7058) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-02-23 |