| NPI | 1922384346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARIE BOLAND Owner 954-577-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL 1838792) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |