| NPI | 1043671118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARIKA GRAYSON CEO 904-413-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 251S00000X | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2024-02-20 |