| NPI | 1649822867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA EGAN Member 561-212-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |