| NPI | 1851556211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMANUEL MARTINEZ Owner/President 904-278-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME68758) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |