| NPI | 1780916619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-ADDLY CAMBRONNE Md 772-335-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME99143) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-12-08 |