| NPI | 1427353150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MCCULLOUGH GRIM President 904-269-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT485) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |