| NPI | 1003212093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RIVERA CEO 954-933-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2015-06-10 |