| NPI | 1356458798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA A GARCIA President 386-456-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 0052909) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-09-14 |