| NPI | 1245980465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL HUSSON MARTINEZ Psychiatrist 239-766-5693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |