| NPI | 1629110226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FENTON President 904-992-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8881) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |