| NPI | 1356305338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANDA HOLLOWAY Ur/Insurance Specialist 904-387-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0416AD182816) | |
| 374J00000X Doula | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-10-24 |