| NPI | 1184357923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANN MCCLINTON Manager/Pmhnp 904-710-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-05-12 |