| NPI | 1356630826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL B MAVICA Office Manager 561-395-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS0006380) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |