| NPI | 1750058962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARYN JAMES CEO 407-434-9127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM0801X | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |