| NPI | 1144836982 |
|---|---|
| Other Name | CENTERSTONE OF JACKSONVILLE FL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KAREN LYNETTE KEENE Security Officer, It Technology Sup 615-463-6523 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |