| NPI | 1053191056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA ABELLEIRA MARTINEZ Partner 321-375-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2024-01-10 |