| NPI | 1134407737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALAN NEWLAND President 239-337-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME0034436) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2011-07-30 |