| NPI | 1760057368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DENISE GRANT Chief Executive Officer 850-345-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |