| NPI | 1861586372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNY R VALENZUELA Owner 239-435-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME88480) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-04-07 |