NPI | 1386131092 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY SUTHERLAND President 904-630-5169 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2018-04-18 |