| NPI | 1841382173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA MARTELL Credentialling Manager 904-420-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 9600112) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-06-04 |