| NPI | 1063097269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HILL Owner 904-853-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-09-25 |