| NPI | 1851854954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SKIPTON Quality Assurance Director 850-766-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |