| NPI | 1184704322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA R VIDAL ZAS Clinical Psychologist 305-221-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6481) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-08-07 |