| NPI | 1033641543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTON JAMES BOTT Managing Member 904-432-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-6275) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |