| NPI | 1801851266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LUCAS Licensed Psychologist 904-725-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY2701) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-01-24 |