NPI | 1144688029 |
---|---|
Entity Type | Organization |
Authorized Contact | IRIS VIVAS Owner/President 305-559-7996 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME107439) |
Enumeration Date | 2016-02-05 |
Last Update Date | 2016-02-05 |