| NPI | 1184026817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MERRITT Recovery Specialist 386-697-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |