| NPI | 1083360408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DELANEY Chief Clinical Officer 904-373-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |