| NPI | 1033249180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE B PEVNY Owner 561-272-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |