NPI | 1780072512 |
---|---|
Doing Business As | DR. BRODY LLC |
Entity Type | Organization |
Authorized Contact | BARRY BRODY Manager Member 386-755-1720 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MT983) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-01-01 |
Last Update Date | 2023-09-27 |