| NPI | 1912670068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JANEIRO President/CEO 850-491-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |