| NPI | 1932822194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA N BROWN CEO 904-568-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-04-24 |