| NPI | 1639651938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MCQUAIG Licensed Mental Health Counselor 904-654-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-08-17 |