| NPI | 1699607788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN A BEATTY President/Owner 772-300-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-06-02 |