| NPI | 1912453432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ALLEVA CEO 561-350-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |