| NPI | 1164188496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA WEISS Credentialing Specialist 904-701-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2023-07-24 |