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 |