| NPI | 1114366937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MOSQUITO DE GUIA Child And Adolescent Psychiatrist 434-242-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL ME111114) |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2014-11-12 |