| NPI | 1356143846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN SAMUEL CEO 904-832-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |