| NPI | 1023016839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI D GLOVER Executive Director, CEO 904-781-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2023-11-07 |