| NPI | 1558722272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA BERT Interim CFO 954-847-4117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2024-11-05 |