| NPI | 1760643860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR RIECHE Owner/Doctor 239-278-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 0063632) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2012-11-01 |