NPI | 1215192042 |
---|---|
Entity Type | Organization |
Authorized Contact | ENRIQUE DIAZ President 786-525-7255 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME100582) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2012-10-22 |