| NPI | 1922247501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BETH OSACHY President 904-737-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW5916) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |