| NPI | 1801954094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN DROZD Director 904-687-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0003697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH5527) |
| 101YM0800X Counselor, Mental Health (Licence: NY 000057-1) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY6700) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |