| NPI | 1205132578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA FORNOF Vice President 904-398-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |