| NPI | 1780193094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET M GHEE Owner 904-860-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH5145) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |