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 |