| NPI | 1619032166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G. MCCLENDON President 904-567-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 5472) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2018-11-09 |