| NPI | 1861858581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY M COTLER Clinical Psychologist 561-790-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2017-09-25 |