| NPI | 1255269486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA MARIE OTERO Licensed Clinical Social Worker 904-271-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-05-09 |
| Last Update Date | 2026-05-09 |