| NPI | 1962721944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL PAEZ Physician/Owner 800-650-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SC 13816) |
| Enumeration Date | 2010-05-29 |
| Last Update Date | 2010-05-29 |