NPI | 1538820667 |
---|---|
Former Legal Business Name | LOGIQUE MEDICAL CARE SERVICES |
Entity Type | Organization |
Authorized Contact | JIMMY LAFAILLE LAFAILLE Dr/Provider 561-374-2472 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-12-30 |
Last Update Date | 2021-12-30 |