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 |