| NPI | 1194912022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX TORO Owner 904-296-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME49174) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-10-02 |