| NPI | 1275849192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HALE Psychologist/Clinical Supervisor 305-284-2350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7272) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |