| NPI | 1962825398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHARMAN LIGHTNER President 904-595-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2022-04-06 |