| NPI | 1316256662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION E HAFTEL Owner 904-206-0641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5151) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |