| NPI | 1497006159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DE BIEN President 786-510-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME109306) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2014-01-12 |