| NPI | 1679961403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSANDRA SHUGARS MCCUNE President 904-392-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10498) |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2015-01-01 |