| NPI | 1326405184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE ANN GRIFFIN Lmhc 904-759-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4968) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-26 |