| NPI | 1285589861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE J. ROGERS CEO 904-472-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2026-02-28 |
| Last Update Date | 2026-04-23 |