| NPI | 1720612013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURAINE MEJIA Adminstration 786-222-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |