| NPI | 1154873016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH HALEY President & CEO 904-396-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2024-02-08 |