| NPI | 1831079185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE CHAMAE PRESCOTT Licensed Therapist 904-929-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |