| NPI | 1578389144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYDEE WARREN Chief Opeations Officer 904-294-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-11-28 |
| Last Update Date | 2024-12-06 |