| NPI | 1538029822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KNOWLES President 904-314-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |