| NPI | 1285257535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLICIA MASSEY Licensed Clinical Social Worker 904-323-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |