| NPI | 1730410812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BRODER Member 954-328-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ME97336) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |