| NPI | 1033462163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DANIEL KNABB Owner 904-383-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY8463) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2024-01-08 |