| NPI | 1962277061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELY STRONG Chief Administrative Officer 305-204-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-12-04 |