NPI | 1326143033 |
---|---|
Entity Type | Organization |
Authorized Contact | T. CAREY MERRITT Owner 904-269-3113 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME49825) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2012-09-19 |