| NPI | 1497072482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO A. MARTINEZ Executive Director 904-744-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |