| NPI | 1578807186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY CARVAJAL-PANTALEON Owner / Manager 904-392-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11064) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2016-01-07 |