NPI 1053724187

Ashley Graham

Practitioner Mental Illness Community Based Residential Treatment Facility Lake City, FL

Practice location

Address: 239 SW Armand Pl, Lake City, FL 32025-2608
Phone: (352) 301-6163

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Florida →

Registry record

NPI: 1053724187
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2014
Record last updated: 5 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.