| NPI | 1770753311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M. JOSEPH Owner 904-280-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 15175) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2016-04-20 |