| NPI | 1548648397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL RODRIGUEZ President 561-266-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL ME78266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9647) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2021-03-12 |