| NPI | 1215124847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CICETTI Owner 561-734-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7715) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 6095) |
| 103T00000X Psychologist (Licence: FL PY 7715) | |
| 1041C0700X Social Worker, Clinical (Licence: FL PY7715) | |
| 251S00000X (Licence: FL PY7715) | |
| 253Z00000X In Home Supportive Care (Licence: FL PY7715) | |
| 291U00000X Clinical Medical Laboratory (Licence: FL PY7715) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2023-01-20 |