| NPI | 1811513534 |
|---|---|
| Doing Business As | CASEY CENTER FOR COMMUNITY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERT JEDRZIEWSKI COO 904-614-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-08-07 |