| NPI | 1710576988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINE V VIAMONTE President 786-246-6295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-09-14 |