NPI | 1316105091 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY W. WILLIAMS Director 904-296-1055 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH4894) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2008-07-11 |