| NPI | 1821087693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTY R LOPEZ Office Manager 305-949-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0024997) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2008-10-22 |