| NPI | 1124201421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMSEY KAY PEVSNER Owner 954-920-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS9360) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |