| NPI | 1205448388 | 
|---|---|
| Doing Business As | ACCIDENTAL WOODTURNER | 
| Entity Type | Organization | 
| Authorized Contact | DANIEL W CALLAHAN Principal 904-240-2157  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2020-08-19 | 
| Last Update Date | 2020-08-19 |