NPI | 1417532417 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC TEDOFF Owner 561-401-5163 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2021-03-11 |
Last Update Date | 2021-03-11 |