| NPI | 1811101165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER ROUSSEAU Psychiatrist 305-598-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME29911) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |