NPI | 1821610452 |
---|---|
Entity Type | Organization |
Authorized Contact | KERMIT L ELLIOTT CEO 850-348-7225 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-05-18 |
Last Update Date | 2020-05-18 |