| NPI | 1922594258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE VILVAR President 904-540-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME78304) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-03-16 |