| NPI | 1629104351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES MACKSOUD Doctor 305-251-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0051716) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-01-12 |