| NPI | 1710318688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL WALLICK Executive Director 561-494-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171100000X Acupuncturist | |
| 174400000X Specialist | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |