| NPI | 1295549806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA YOST President 904-778-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |