| NPI | 1689528176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERTICIA BLACK Owner 904-343-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-02-23 |