| NPI | 1659953586 |
|---|---|
| Doing Business As | INTROSPECT MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | BRUCE BRIAN BEARDSLEY Owner 904-321-9875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |