| NPI | 1902040983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON K BAKER Physician 305-740-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME29473) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2025-01-23 |