| NPI | 1720326382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CRUISE Owner/ Clinical Director 904-476-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-10245) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2018-09-11 |