| NPI | 1578762126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE NOGUES President 305-412-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME0045561) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2012-03-15 |