| NPI | 1285763441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI STAR Medical Director 561-422-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME85603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME85603) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME85603) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-11-26 |