| NPI | 1083650576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GREGORY DENT Managing Member 904-819-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME71168) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-06-21 |