| NPI | 1174313936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA GREGGO Owner 904-650-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |