| NPI | 1215429972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ALEXIS GARDNER President 904-330-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |