| NPI | 1487425104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDVINA LEBOEUF Therapist 904-955-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |