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 |