| NPI | 1679859359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOLITO B FIDEL Owner/Provider 424-400-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A81909) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2024-01-10 |