| NPI | 1487103065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALONSO Owner 305-200-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL L29573952) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: FL L29573925) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL L29573925) | |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2017-03-03 |