| NPI | 1164995239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBOLYA STIPKOVITS Managing Member 863-255-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |