| NPI | 1851678148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA S RICHMAN Owner/Psychologist 904-268-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2013-11-20 |