| NPI | 1851365019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MCCORMICK Administrator/Nursing Director 850-488-7935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |