| NPI | 1851870315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HOBGOOD Account Manager 904-302-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: VA 0101043183) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |