| NPI | 1437212446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BILLION Director President 561-395-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY2056) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-09-04 |