| NPI | 1538255088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN LLOYD RODRIGUEZ Executive Director 904-759-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-10-26 |