| NPI | 1952964132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARL WAINSCOTT CEO 850-904-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-04-08 |