| NPI | 1366574527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC ZACCHEO President 772-287-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 2705) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-11-06 |