| NPI | 1992180343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMMAD H BOKHARI Authorized Official 561-779-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 103K00000X Behavior Analyst | |
| 251B00000X Case Management | |
| 251S00000X (Licence: KY 810478) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2016-04-03 |