| NPI | 1801390901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CERETHA STEPHENS President 850-339-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-28 |