| NPI | 1336338417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA M ADAMS Manager 407-671-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0065598) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |