| NPI | 1265018162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIYA PALOPOLI President/Officer 386-218-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2023-10-09 |