| NPI | 1053084517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTAGRACIA GOMEZ ARACENA Owner 347-928-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2023-01-26 |