| NPI | 1134737828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE TAYLOR Mental Health Counselor 386-387-1783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2026-02-12 |