| NPI | 1659629707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE VELTRI Clinician 904-631-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH 9018) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |