NPI | 1730575549 |
---|---|
Entity Type | Organization |
Authorized Contact | MENCIA GOMEZ Md 754-210-5359 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME121955) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2015-04-08 |