NPI | 1508128943 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH ELLEN OBERLANDER Chief Clinical Officer 904-400-6739 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2021-06-17 |