| NPI | 1881039543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA TONEY Director 904-355-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 261QA0600X) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |