| NPI | 1568793982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE A CANCHOLA President 954-962-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |