| NPI | 1356152250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN GOODSTAT VP Of Compliance 954-415-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |