| NPI | 1043586746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY LEPELY Owner 904-737-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME54943) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |