| NPI | 1710068903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA DELCASTILLO President 386-717-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME0028096) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-09-09 |