| NPI | 1043859622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA POTERE Administrator 954-695-6847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |