| NPI | 1386004778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE HING Chen Med Credentialing 305-363-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA 4219) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |