| NPI | 1518020775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LOUIS BLANKEMEIER Owner 407-629-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0050631) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-01-16 |