| NPI | 1194452482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA WALKER President 904-415-8343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 183700000X Pharmacy Technician | |
| 251K00000X Public Health or Welfare | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 305S00000X Point of Service | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-11 |