| NPI | 1578451316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BERTONE President 904-772-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |