Organization
DR LYTAL PICHON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYTAL PICHON (OWNER)
(917) 535-0881
Entity
Organization
Contact information
Practice address
17501 BISCAYNE BLVD STE 450, AVENTURA, FL 33160-4806
(786) 571-4570
Mailing address
17501 BISCAYNE BLVD STE 450, AVENTURA, FL 33160-4806
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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