| NPI | 1497695316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE DAVIS Owner 904-624-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |