NPI | 1104205152 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNADETTE EVELYENNA FIELDS Executive Director 904-483-1870 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251S00000X |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2015-05-22 |
Last Update Date | 2016-09-08 |