| NPI | 1871329912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNELL BENSON CEO 850-590-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |