| NPI | 1972330272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERMERA YVONNE SMITH Director 904-227-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |