| NPI | 1083824205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA MARUSSICH Director Of Operations 954-577-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NA) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-09-15 |