| NPI | 1346653581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES M SELEM President 786-504-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ACN325) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-09-05 |