| NPI | 1023013729 |
|---|---|
| Doing Business As | PUTNAM-ST. JOHNS BEHAVIORAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JOYCE C MILLER Chairperson Board Of Directors 386-325-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0354AD252601) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2011-12-29 |