| NPI | 1114896453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MERTES Provider, Co Owner 850-640-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |