| NPI | 1902076524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATUL M SHAH Psychiatrists 904-725-6463 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL ME0048902) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2013-09-17 |