| NPI | 1447533013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE JAMES GREEN Executive Director 904-527-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL 0416AD444101) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |