NPI | 1801273214 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA ENID PUSEY Owner 561-687-1304 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME113557) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2015-05-05 |