| NPI | 1700285996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN E MARTINEZ Chief Executive Officer 904-445-9732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1-01-0583) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |