| 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 |