| NPI | 1053860114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI ROBIOU Owner 305-788-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL PY8108) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2021-04-21 |