| NPI | 1760196109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER R BRONSTEIN Owner 561-396-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |