| NPI | 1780192377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEVEN SWEENEY CEO, Lcsw 904-801-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-01-29 |