| NPI | 1396272043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDAL N LOPEZ Psychiatrist 305-480-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME14047) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH4844) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |