| NPI | 1265680805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ARTHUR GEORGE Executive Director 904-790-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 02084206) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-12 |