| NPI | 1801261177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORETHA D JONES CEO/Owner 850-694-9864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL 3298622) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2018-06-16 |