| NPI | 1629402441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNELINE KINGSLEY Geriatric Psychiatrist 904-332-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME114295) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-09-16 |