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 |