| NPI | 1659646354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAE R SONG Psychiatrist/Owner 727-846-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0029968) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |