| NPI | 1699320838 |
|---|---|
| Doing Business As | CHIQUITA ADAMS |
| Entity Type | Organization |
| Authorized Contact | CHIQUITA ADAMS Owner 904-802-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2020-08-26 |