| NPI | 1831600618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVEL L. ESTES Owner 850-624-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH12363) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2025-09-19 |