| NPI | 1003161928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A.H. DARNALL Owner/Therapist 904-322-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 10839) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2013-06-20 |