| NPI | 1710163480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE WILLIS Director 954-851-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ARNP1837702) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: FL ARNP1837702) |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2009-09-16 |