| NPI | 1528238201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER VERNON DAVENPORT President 863-646-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0087596) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2020-11-24 |