| NPI | 1710676457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRIY REZNIK CEO 954-247-8790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-03-12 |