| NPI | 1720440373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SHAW-WILSON CEO 904-712-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 207Q00000X Family Medicine | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2026-01-03 |