NPI | 1902615172 |
---|---|
Entity Type | Organization |
Authorized Contact | SACHA M OLAN Owner 904-477-5742 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-01-02 |