| NPI | 1265016927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN MICHELLE DUNHAM Executive Director 904-732-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-01-26 |