| NPI | 1629353008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS P. FARRETTA Owner/Licensed Therapist 954-434-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL AP3017) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: FL MA9569) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |