| NPI | 1528790292 |
|---|---|
| Doing Business As | PRISM COMMUNITY MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JULIE LYNN JOHNSON Owner/Operator 904-654-3275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |