| NPI | 1205265667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELIA F IGLESIAS Medical Director 239-234-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME115442) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |