| NPI | 1306483979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMIE DOUGLAS BENEFIELD Founding Partner/Owner 904-563-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 111N00000X Chiropractor | |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2021-07-29 |