| NPI | 1518324276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MANNS President 904-755-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13054) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |