| NPI | 1740463918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIOARA LAZAR Owner 954-478-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME85656) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME85656) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2017-05-09 |