NPI | 1568812329 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY PIERCY Owner/Therapist 904-716-3828 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12106) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2016-06-13 |