| NPI | 1205159357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO AUGUSTO SANCHEZ President 904-399-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |