| NPI | 1144307828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCPHERSON Executive Director 904-548-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 0445AD146701) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-08-21 |