| NPI | 1962846667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ANGELINA WHITE Owner 850-273-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: FL 233047) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251E00000X Home Health (Licence: FL 233047) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-08-13 |