| NPI | 1235408683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERNDON HARDING Owner 407-671-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME74794) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |