| NPI | 1104415694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CHRISTINA MANDINA-DIMARCO Clinical Psychologist 772-202-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |