| NPI | 1447776570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANNE PARNELL Pmhnp Bc 904-686-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL 9336567) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |