| NPI | 1659750644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY PICILLO Billing Manager 561-332-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2021-03-12 |