| NPI | 1598137994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE INGBER Mental Health Counselor 904-686-5018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL 7855MH) |
| Enumeration Date | 2015-10-24 |
| Last Update Date | 2015-10-24 |