| NPI | 1508166174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASIK PATEL President 850-574-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0047196) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |