| NPI | 1922777176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MARIA FELIX TORRES Clinician 904-373-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-01-27 |