| NPI | 1942489265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D HALL Owner/Operator 850-535-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: FL AL5461) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2008-07-15 |