| NPI | 1982905717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DEVINE President 813-689-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0072537) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2011-05-03 |