| NPI | 1528949666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PINCKNEY Director 904-226-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |