NPI | 1417373838 |
---|---|
Entity Type | Organization |
Authorized Contact | NOELLE POMEROY Licensed Mental Health Counselor 904-383-7613 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12328) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2014-11-04 |