| NPI | 1356936520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENEY TORRES President 786-744-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103T00000X Psychologist |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-08-22 |