| NPI | 1053156836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIBIANA SUSAIMANICKAM Chief Medical Officer 561-299-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |