| NPI | 1912203688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HASSON Director Of Billing 561-237-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL 1550AD144701) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2022-02-25 |