| NPI | 1427181775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWIN LAPP Exec Director President 904-388-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3959) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT641) |
| 103T00000X Psychologist (Licence: FL PY4887) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MH530) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |