| NPI | 1326623067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE LAMOLINARA Therapist 904-735-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |