| NPI | 1245709559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME VICTORIA MARRA Licensed Psychologist/Owner 904-479-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |