| NPI | 1518347699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE BERMUDEZ Psychologist 305-981-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY7105) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-02-14 |