| NPI | 1841217494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE BENITO Ownerofficer 786-294-3745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME62660) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-10-28 |