| NPI | 1609324912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CIRIO Owner 561-396-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL OS9037) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2573272) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2017-03-23 |