| NPI | 1346205861 |
|---|---|
| Other Name | DANIEL |
| Entity Type | Organization |
| Authorized Contact | FELIPE PIA CFO 904-296-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-10-08 |