| NPI | 1700121779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M MCGOOKEY President 239-772-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME0060048) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2014-05-08 |