| NPI | 1851796809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE GRIMES President 904-343-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12738) |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2017-01-30 |