| NPI | 1871909226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEEN M HERSKOVITZ Owner/President 904-501-3809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH12319) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |