| NPI | 1891004396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LOPEZ Medical Director 786-367-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 20247) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |