| NPI | 1609067131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSTISLAV IGNATOV President 305-924-6593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME 93056) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |