| NPI | 1992880355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOPOLDO HUMBERTO COVARRUBIAS Owner 269-965-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI LC039110) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-04-20 |