| NPI | 1548535537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FULTON Owner/President 904-363-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2651) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |