| NPI | 1114173663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A. WHITAKER President 904-384-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 2154) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |