| NPI | 1063907517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LEONARDO BARIAS Medical Director/Owner 561-406-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: FL ME119718) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-08-30 |