NPI | 1295991107 |
---|---|
Doing Business As | TAY GAINES MD |
Entity Type | Organization |
Authorized Contact | TAY GARNETT GAINES President/Member 561-844-7699 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ME55707) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2008-09-02 |