| NPI | 1740706647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TAYLOR REASONOVER Lcsw/Owner 904-993-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14640) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |