| NPI | 1447567540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE DUNCAN President/ Administrator 904-743-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL11103) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |