| NPI | 1063228559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN HYATT Owner/Manager 904-742-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 163W00000X Registered Nurse | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |