| NPI | 1437446663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL E ROURA C.E.O. 305-969-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 67088) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1757) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME 67088) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 67088) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |