| NPI | 1164691515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA OZA Owner 813-932-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME0055464) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |