| NPI | 1538391156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MARIE KOVISH President 904-374-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 5176) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2009-08-15 |