| NPI | 1326402785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN RICHARDSON Owner 904-564-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9783) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-11-09 |