| NPI | 1952377764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAMES DAVERSA President 305-253-4218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 0014994) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-03-30 |