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 |