| NPI | 1063127132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER PAUL VENTRE Owner 954-561-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-04-19 |