| NPI | 1720490097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L TROWER Licensed Mental Health Counselor 904-260-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |