| NPI | 1992049845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E LEVITAN President 850-944-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW7502) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |