| NPI | 1417442310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISSE L CASTRO LEBRON President 939-262-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |