NPI | 1811412539 |
---|---|
Doing Business As | RIVER CITY COMPANIONSHIP L.L.C. |
Entity Type | Organization |
Authorized Contact | SHELI MARIE MCCALLISTER Owner/CEO 850-241-4937 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 234691) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2022-07-21 |