| NPI | 1386172351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI EICKLEBERRY Managing Partner 954-766-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2023-11-06 |