| NPI | 1912494246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEE THOMAS Vice President 904-379-8914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |