| NPI | 1760765838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA YOWANDA HERRING-COOPER CEO/Administration 904-416-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2013-09-01 |