| NPI | 1275678799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYEN P. MADKAIKER Psychiatrist, President 904-880-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH9023) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL RN9254064) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: FL ARNP2101032) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: FL RN2580702) | |
| 174400000X Specialist (Licence: FL ME83139) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |