NPI | 1023039161 |
---|---|
Former Legal Business Name | GENOVA AND ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JAMES LIONEL LARSON President 904-264-6977 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |