| NPI | 1487324893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNAMARIE LOPINTO Billing Manager 561-815-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2022-03-31 |