| NPI | 1386092161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'ARCHA ANTOINETTE BENNETT CEO 904-662-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2021-01-12 |