| NPI | 1053339937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILAN MELNICK President 786-877-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me94563) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-16 |