| NPI | 1841678141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ENID PUSEY Owner 561-331-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME113557) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL ME96194) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2023-07-04 |