| NPI | 1427632397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE V WILLIAMS Owner/ Operator 904-234-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |