NPI | 1770868010 |
---|---|
Doing Business As | CRC |
Entity Type | Organization |
Authorized Contact | WILLIAM C. JONES Clinical Therapist 904-358-1211 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL MH0000054) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |