| NPI | 1053034462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GUINAN Owner/Sole Member 772-202-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |