| NPI | 1740702406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RODRIGUEZ President 786-490-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-03-27 |