| NPI | 1629564489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DIANE EBERWEIN Co Founder 904-863-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9903) |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |