NPI | 1063547974 |
---|---|
Entity Type | Organization |
Authorized Contact | RAUL J RODRIGUEZ Medical Director 561-266-8866 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ME78266) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2021-03-12 |