| NPI | 1356702542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM BARA CEO 904-226-8506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1095910) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 1095910) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 1095910) | |
| 251B00000X Case Management (Licence: FL 1095910) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |