| NPI | 1629463526 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN CROSSFIELD President 904-853-5900  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4466)  | 
| Enumeration Date | 2015-03-30 | 
| Last Update Date | 2015-03-30 |