| NPI | 1891147120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE ASHLEY BEECH-MAVRANTZAS Therapist 904-994-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw13692) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2017-05-01 |