| NPI | 1912359464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A THOMAS Counselor 850-224-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0237AD915500) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |