| NPI | 1720440373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SHAW-WILSON CEO 904-712-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-07-12 |