| NPI | 1992127732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIRA VAN DER LINDE Owner 850-439-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME94242) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |