| NPI | 1831452119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA CONKLIN Dual Diagnosis Clinician 850-776-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA ASW32549) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |