| NPI | 1508175183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L SLOCUM Owner 941-366-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME0024146) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |