| NPI | 1114671856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HEATH CEO 904-666-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2023-05-05 |