| NPI | 1194450676 |
|---|---|
| Doing Business As | PURPLE MOON SERVICE CENTER,LLC |
| Entity Type | Organization |
| Authorized Contact | VALJEANNE R CASTER Counselor Owner 904-233-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |