| NPI | 1457302614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EUGENE UTTLEY Medical Director 239-330-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-07-07 |