| NPI | 1851120406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH J CLARKE Manager 561-969-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |