NPI | 1457603060 |
---|---|
Former Legal Business Name | ALLIED VETERANS CENTER |
Entity Type | Organization |
Authorized Contact | DENNIS NELSON CAIN Staff Therapist 904-723-5950 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
261QV0200X Clinic/Center, VA | |
Enumeration Date | 2012-10-05 |
Last Update Date | 2022-07-21 |