| NPI | 1851326169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY S. MOSHER President/Owner 321-254-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME48860) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |