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 |