| NPI | 1730448135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEY ANDUJAR Member 772-905-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME80487) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |