| NPI | 1780087031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI ERICKSON Owner 561-808-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME115146) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL ME115146) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME115146) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |