| NPI | 1003391475 |
|---|---|
| Former Legal Business Name | CECILIA G LANGFORD APRN PA LLC |
| Former Legal Business Name | CECILIA G LANGFORD APRN PA |
| Entity Type | Organization |
| Authorized Contact | CECILIA PATHWAYS MENTAL LANGFORD Owner 904-248-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2023-06-01 |