| NPI | 1386063592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS L. KAWLICHE Owner 813-681-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME66500) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |