| NPI | 1124385778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURO RODRIGUEZ Provider 727-600-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0024891) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-11-20 |