| NPI | 1649644162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MIGUEL CUBANO Director 407-732-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2023-11-13 |