| NPI | 1346521424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KRASKY Lead Psychologist 954-579-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL SS 989) |
| Additional Taxonomies | 251S00000X (Licence: FL SS 989) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |