NPI | 1578969796 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA F LATIMER Owner 904-868-2182 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH12959) |
Enumeration Date | 2014-11-16 |
Last Update Date | 2014-11-16 |