| NPI | 1316289333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HASKELL Health Services Information 904-899-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |