| NPI | 1649437567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E BOBUS Pvst 904-246-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1194) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |