| NPI | 1063856938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELVENA RENEE THOMAS Owner 305-981-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS10439) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2020-08-07 |