| NPI | 1235177213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEBE DINO Office Manager/Assistant Accountant 561-368-8430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0056515) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME0056515) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP 2623662) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY7917) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-08-17 |