| NPI | 1346417029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P CONRAD Owner 850-937-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0055242) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |