| NPI | 1417037102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHANNING President 954-385-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6745) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-09-16 |