| NPI | 1770033748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BAKER SIMMS CEO And Owner 904-374-6403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL RBT-16-22849) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |