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 |