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 |