| NPI | 1588792493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY YOUNG President 904-269-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 2494) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |