| NPI | 1538562319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA YOST CEO 904-236-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2023-02-09 |