| NPI | 1417018482 |
|---|---|
| Doing Business As | FAMILY PSYCHIATRY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ADLY THEBAUD Owner 386-775-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9410846) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME60436) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9231203) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-11-09 |