| NPI | 1801452362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIAH COLES COO 561-502-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-07-31 |