| NPI | 1912895772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVA ROSA REVE URGELLES Psychiatry 239-423-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |