| NPI | 1790482743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E BOWDEN Licensed Mental Health Counselor 904-885-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-13 |