| NPI | 1649046574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL APPIADU Manager/Owner 904-563-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |