| NPI | 1902178775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS MIDDLETON Administrator 904-217-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |