| NPI | 1952829137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONELIA RAMIREZ-COOK Manager 813-766-4218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME112720) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |