| NPI | 1548958168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HANNAH Owner 904-379-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |