| NPI | 1063860864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY GARTRELL Founder 904-859-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 11338) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |