| NPI | 1952451775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MERWIN Owner 904-824-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PY2444) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL PY2444) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |