| NPI | 1194378901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA PATRICIA GOMEZ Owner 786-326-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2022-01-28 |