| NPI | 1659240620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA P. SEYMORE Managing Partner 904-347-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-11-05 |