| NPI | 1306026604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MICHAEL COSTANZA President 561-279-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5739) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2008-08-07 |