| NPI | 1821535881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER E WOODS Clinical Counselor 850-324-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW12544) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |