| NPI | 1053181966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DEMARIN Rbt 954-579-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |