| NPI | 1679997704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED WALKER WATTS President 904-693-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10622) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |