| NPI | 1952557183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOBO A CRUZ President 850-484-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME48974) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-09-05 |