| NPI | 1609057561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI KINNEY Administrator 561-852-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME93106) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-21 |