| NPI | 1083401244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK ACOSTA HEREDIA Owner 786-792-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |