| NPI | 1104391648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HASSON Director Of Billing And Collections 561-237-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2022-02-25 |