| NPI | 1346596632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO MANUEL GRENIER President 786-200-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME107932) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |