| NPI | 1295053585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSAM A AMAWI Owner 386-299-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME50613) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2011-07-11 |