| NPI | 1225197544 |
|---|---|
| Doing Business As | COMMUNITY BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | LARRY NEIDIGH Clinical Director 904-269-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY4090) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-05-16 |