NPI | 1578807400 |
---|---|
Doing Business As | SAFE HARBOR BOYS HOME |
Entity Type | Organization |
Authorized Contact | ROBBIE SMITH Clinical Director 904-757-7918 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5256) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |