| NPI | 1396503157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE M COMPTON President 904-670-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |