| NPI | 1508991332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY - WALKER Dir. Substance Abuse Services 904-358-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 251S00000X) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |