| NPI | 1194547190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN OWENZ Licensed Psychologist 904-373-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |