| NPI | 1942650593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FARINAS Physician/Owner 904-997-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME96794) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |