| NPI | 1679710032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASREEN RAZACK- MALIK President 321-246-8526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME92266) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-06-04 |