| NPI | 1316114192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E. UTTLEY Medical Director 239-936-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-14 |