| NPI | 1659580991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KELLY President 904-398-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: FL me69167) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |