| NPI | 1487873451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS O. BONNER President 305-595-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY2826) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |