| NPI | 1477669471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS WILLIAM CASSIDY President 863-686-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME86103) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: FL ME86103) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-03-31 |