| NPI | 1578212338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO FERNANDEZ CEO 424-202-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |