| NPI | 1730494022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A HESS President 352-224-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME104847) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2012-04-18 |