NPI | 1366138984 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLAS D SIKACZOWSKI Owner 305-600-3182 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2023-04-17 |
Last Update Date | 2024-10-21 |