| NPI | 1528249976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BRENNAN Practice Administrator 561-509-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2021-08-23 |