| NPI | 1568909729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BISHOP President / Psychotherapist 904-228-7148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH11129) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |