| 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 |