| NPI | 1285094276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY PATTAN Owner 904-479-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW13418) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |