| NPI | 1366833675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE A VAZQUEZ President 954-228-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6300) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2016-10-17 |