| NPI | 1740809623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE TABATHA HILL Owner 850-625-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2021-05-28 |