| NPI | 1295997971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL POIRIER President 239-332-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0005547) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |