| NPI | 1700333978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL JOHNSON Executive Director 904-703-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2019-01-08 |