| NPI | 1568590800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ENRIQUE LIEVANO President 305-854-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME 27519) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |