| NPI | 1265090062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA GLORIA GARCIA Owner 786-345-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-07-10 |