| NPI | 1861810046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LATY M.D/Owner 305-733-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME91244) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |