| 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 |