| NPI | 1710243571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER HUDNALL Office Administrator 904-527-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME108768) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2019-09-19 |