| NPI | 1972097087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHMEIKQUA GREENE CEO/Director 904-361-1798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |