| NPI | 1518657915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C RONDEAU President/Provider 833-969-6463 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |