| NPI | 1902044910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PETER ROSA Owner Operator 954-757-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME71617) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-03-04 |