| NPI | 1336028588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN DEKKER Owner 954-319-8579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-10-02 |