| NPI | 1124478334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | 8 MONET WILSON CEO 904-554-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH11336) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2016-06-18 |