| NPI | 1558633941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M DREIZE Owner 786-303-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME100712) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-11-08 |