| NPI | 1366870420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CALLAHAN Partner 904-240-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10450) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |