| NPI | 1952601189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCPHERSON Owner/Director 904-548-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 0445AD146701) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |