| NPI | 1003231788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY ROSSIN Manager 786-942-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME83014) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |