| NPI | 1124383203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJNIKANT B PATEL Physician 850-747-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME0060091) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |