| NPI | 1114374493 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | COLLEEN HILL WRIGHT Licensed Mental Health Counselor 904-472-0122 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2016-05-17 | 
| Last Update Date | 2016-05-17 |