| NPI | 1033948559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE CAMPBELL President 904-302-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |