| NPI | 1972382331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA NASTA Licensed Mental Health Counselor 904-735-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-04-01 |