| NPI | 1134658966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ISTVAN HOLTZCLAW President 954-584-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-11-27 |