| NPI | 1750875977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACENDIA MITCHELL President 904-305-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |