| NPI | 1699950741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO JOSE MOREIRA President 915-577-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2010-02-16 |