| NPI | 1134571078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW T JACOBS President 904-509-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: FL LCMFT 0413020312) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2016-07-03 |