| NPI | 1265946875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR KAIPOV P, VP, S, T 305-458-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME133899) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2019-12-22 |