| NPI | 1114079605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WHITE President 941-365-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |