| NPI | 1164663571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINA GIRON Director 954-816-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 103T00000X Psychologist (Licence: FL BY7137) | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |