| NPI | 1720701337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE GARCIA WYDEN Owner/Licensed Clinical Social Work 904-657-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |