| NPI | 1487062451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN LOPEZ BRIGNONI Owner 305-670-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0054458) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME0054458) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2023-05-24 |