| NPI | 1952849762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T RILEY Director 904-600-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |