| NPI | 1396801361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODALYS BRITO President 904-808-7362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME94487) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME94487) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |