| NPI | 1396281382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRISH BECKLES Lmhc Owner 904-483-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH10676) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |