| NPI | 1750966362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN RENEE HUNTER Manager / Owner / Lcsw 904-400-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |