| NPI | 1669257648 |
|---|---|
| Doing Business As | HEALING PAYNE |
| Entity Type | Organization |
| Authorized Contact | VICTORIA L PAYNE Owner 904-472-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |