NPI | 1053646018 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MARTIN MAX President 954-472-5933 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3285) |
Enumeration Date | 2009-10-08 |
Last Update Date | 2009-10-08 |