| NPI | 1164868923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN BROWN Administrator 904-537-6124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL Al9084) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |