| NPI | 1124204979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSY SADOVNIK President 305-632-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6670) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2011-04-08 |