| NPI | 1093993701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE JOSEPH RANKIN President 904-281-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL Py 6386) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |