| NPI | 1710097704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LOUIS IGLEBURGER President Owner 850-226-4785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 94223) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |