| NPI | 1427725126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW DAVID BREZNITSKY Owner 321-978-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |