| NPI | 1104151521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNETTE CASTILLO President 786-253-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7799) |
| Enumeration Date | 2009-10-03 |
| Last Update Date | 2009-10-03 |