NPI | 1013374511 |
---|---|
Entity Type | Organization |
Authorized Contact | ALON SEIFAN President 786-620-3204 |
Organization Subpart ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: FL ME122509) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2016-01-28 |
Last Update Date | 2024-06-18 |