| NPI | 1154641579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMATINE BEALYER Sphn Supervisor 904-253-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL ND5534) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |