| NPI | 1558735290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR E GAINES Chief Executive Officer 561-352-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME55707) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME55707) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |