| NPI | 1790072890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL G ANTHONY Owner/Operator 904-651-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9694) |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2011-07-09 |