| NPI | 1497179444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOV RAPOPORT CEO 239-218-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-24 |