NPI | 1104579424 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA GREENOUGH CEO 904-829-2273 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-01-27 |
Last Update Date | 2022-01-27 |