| NPI | 1093325243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA STIELER Credentialing Manager 561-432-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |