| NPI | 1417367343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY THOMAS GOSSINGER President 352-371-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0025383) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |