| NPI | 1255957171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PALLEY Office Manager 561-241-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-08-08 |