| NPI | 1841223443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE A CONLEY CEO/President/Therapist 904-878-7939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004496) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-09-14 |