| NPI | 1851672687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ANN LAMKIN Owner 954-903-8142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |