| NPI | 1326582842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CASTRANOVA Credentialing Agent 305-576-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |