| NPI | 1568861516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BETH FALOR Owner 904-419-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3602) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |