| NPI | 1427417732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIERRA IRVIN Billing Manager 561-288-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-06-14 |