| NPI | 1265007207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIRA JIMENEZ Owner 786-285-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2023-03-20 |