| NPI | 1710055470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL HARVEY EDISON President 954-986-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0015827) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-06-23 |