| NPI | 1477069243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA A ROBERTS President 904-962-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH13275) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL MH13275) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |