| NPI | 1518186469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL J DIEZ LOPEZ President 954-462-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME27360) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |