| NPI | 1679080824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M FEWOX-STEEN Licensed Mental Health Counselor 904-434-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL MH10370) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |