| NPI | 1205143765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORDA HERNANDEZ Director 954-641-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7910) |
| Enumeration Date | 2010-09-06 |
| Last Update Date | 2010-09-06 |