| NPI | 1437507894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY A PICILLO Office Manager 954-234-2469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME55819) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2017-03-06 |