| NPI | 1336429448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MICHELLE JOHNSON Managing Member 904-505-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY7686) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |