| NPI | 1639363989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M. GOMEZ President 904-332-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |