| NPI | 1467547091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELAINE BROWN Co Owner Licensed Psychologist 904-371-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7115) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |