| NPI | 1992015184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE JACOB MONTROSE Owner 772-871-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME69838) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |