| NPI | 1740583020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON DANIELS Administrator 904-249-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 9053) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |