| NPI | 1255483616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E GROBLE Medical Doctor Psychiatrist 904-384-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2809) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0023162) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |