| NPI | 1114320330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA S COHEN Owner 941-404-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME112405) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |