| NPI | 1376137646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LOUISE MCNAMARA Mental Health Counselor/Owner 904-460-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |