| Organization Name: | MARSH LANDING BEHAVIORAL GROUP INC |
| NPI Number: | 1124143490 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK CHRISTOPHER TOMASKI (CEO, MEDICAL DIRECTOR) |
| Mailing Address: | 1538 The Greens Way Suite 101 Jacksonville Beach |
| State: | FL US |
| Postal Code: | 322502499 |
| Phone Number: | 9045430161 |
| Fax Number: | 9045439172 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 02/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |