| NPI | 1699449272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYDEE VANTERPOOL COO 904-294-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2022-12-24 |