| NPI | 1851717060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W. STOCKWELLL President/Manager 850-765-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2016-05-03 |