| NPI | 1376894816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MCELVEEN Owner 904-902-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004714) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2024-10-22 |