| NPI | 1164566683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJID LOPEZ Supervising Physician 305-667-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: FL ME7177) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2010-12-13 |