| NPI | 1013527118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL FERRER RODEIGUEZ Owner 786-710-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-12-06 |