| NPI | 1275887598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT HERBERT Director/Owner 904-247-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT0001341) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |