NPI | 1215179056 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDI B BRAZER Director Of Operations 904-797-3115 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
1041C0700X Social Worker, Clinical | |
363LF0000X Nurse Practitioner, Family | |
363LA2200X Nurse Practitioner, Adult Health | |
207Q00000X Family Medicine | |
208D00000X General Practice | |
Enumeration Date | 2009-03-25 |
Last Update Date | 2011-05-19 |