| NPI | 1407090293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P KURT President 904-737-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 102L00000X Psychoanalyst | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-28 |