| NPI | 1467607960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN BYRON GRADITOR President 954-961-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py002243) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2009-01-12 |