| NPI | 1811244080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY E DORAN Director 561-620-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 76196) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |