| NPI | 1730669490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY ISRAEL Owner 561-763-7629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2024-03-20 |