NPI | 1669026324 |
---|---|
Entity Type | Organization |
Authorized Contact | PETERGAY STERLING Nurse Practitioner, Psychotherapist 904-528-0248 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-07-30 |
Last Update Date | 2025-04-30 |