| NPI | 1962216457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TAR CEO 305-496-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |