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 |