| NPI | 1861155616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URRIKKA BIANCA WOODS-SCOTT Executive Director 904-209-4876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2055X Respite Care Respite Care, Mental Illness, Child |
| 385HR2050X Respite Care Respite Care Camp | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-28 |