| NPI | 1891655213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH J KEILI Owner/Director 904-505-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |