| NPI | 1467993733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY PICILLO Billing Manager 954-234-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2904) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: FL ME114179) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |