| NPI | 1982922829 |
|---|---|
| Doing Business As | IMPACT BEHAVIORAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | YVETTE MIGNON Owner 850-656-2006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 8447) |
| 101YM0800X Counselor Mental Health (Licence: FL 8447) | |
| 104100000X Social Worker (Licence: FL 6702) | |
| 1041C0700X Social Worker Clinical (Licence: FL 6702) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2017-12-01 |