| NPI | 1396526257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE N GAMBLE Licensed Mental Health Counselor 904-878-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |