| NPI | 1851045652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNAQUE HAYES Owner/Provider 850-206-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |