| NPI | 1770840423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEONARD SALL Psychiatrist 904-396-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0015444) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-26 |