| NPI | 1427467588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ENGELSKIRCH President 904-672-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH9636) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9636) |
| 103K00000X Behavior Analyst (Licence: FL MH9636) | |
| Enumeration Date | 2014-08-03 |
| Last Update Date | 2014-08-03 |