| NPI | 1780863282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN DAWSON Owner/Operator 850-747-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: FL AL10655) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-11-23 |