| NPI | 1780448274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA GROSSMAN Marriage And Family Therapist Inter 904-834-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |