| NPI | 1114368503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI CASARES THORNDIKE Psychologist 305-675-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY7529) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |