| NPI | 1902777022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FORDE CEO 904-314-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |