| NPI | 1538455621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY MARY GONZALEZ President 786-546-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME77453) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |