| NPI | 1265839518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA WELLS JONES Sole Member 251-215-9953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL sw7653) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |