| NPI | 1891982294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLARD GRACE President 352-795-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME85580) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2011-09-30 |