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 |