| NPI | 1386021897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CARTER Chairman 904-208-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 251X00000X | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 310400000X Assisted Living Facility | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 385H00000X Respite Care | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2017-12-21 |