| NPI | 1508321498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDI GARDNER Owner 904-489-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2023-09-29 |