NPI | 1548201262 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISABETH PESCE CEO 904-605-4986 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2022-12-01 |