NPI | 1770085755 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANA VALETON President/Owner 305-303-8108 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 208D00000X General Practice |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2018-03-06 |
Last Update Date | 2020-01-23 |