| NPI | 1316148349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO A FONTE President 305-423-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY005001) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-04-20 |