| NPI | 1124143490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHRISTOPHER TOMASKI CEO, Medical Director 904-543-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-02-18 |