| NPI | 1952964132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARL WAINSCOTT CEO 850-904-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |