| NPI | 1083213110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ALZAMORA Medical Director/ Owner 727-800-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-05-21 |