| NPI | 1942611421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE RANKIN Ph.D. 904-281-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY6386) |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |