NPI | 1063071835 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN POST Owner, Mgmr 904-717-5445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-06-06 |
Last Update Date | 2019-06-06 |