| NPI | 1902986573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO R ALCALDE Manager Owner 772-398-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME30161) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-09-17 |