| NPI | 1831200377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DEVAULT LAHEY Managing Partner 904-389-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6352) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |