| NPI | 1992180343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARDAR N KHAN Managing Member 561-779-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 251B00000X Case Management |
| 207Q00000X Family Medicine | |
| 251S00000X Community/Behavioral Health (Licence: KY 810478) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2025-09-09 |