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 |