NPI | 1629480744 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT MOSHER President 904-303-3830 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4953) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2014-05-22 |