| NPI | 1669775037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY A ARCANZ Administrator 904-221-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL HCC8789) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL 9102783) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2012-01-10 |