| NPI | 1396298915 |
|---|---|
| Doing Business As | QUALITY LIFE CENTER OF JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | MARCUS DE CARVALHO Medical Director 904-398-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |