| NPI | 1326485830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA GLOVER Mental Health Rehabilition Special 904-525-9623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 013418179) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |