| NPI | 1336854520 |
|---|---|
| Former Legal Business Name | MED-LIFE PSYCHIATRY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | MAYBEL CONCEPCION CEO 305-504-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2025-05-06 |