| NPI | 1063254258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANZHELA MORMITKO Owner 561-541-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |