| NPI | 1265459275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANNE BLISS Clinical Director 954-584-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY5318) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-12-27 |