| NPI | 1922445790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK D SURGEON CEO 850-515-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |