| NPI | 1619389129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY KOSMAN President 941-951-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME117639) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-07-21 |