| NPI | 1528074002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEIVEN BEN BEITCHMAN President 786-303-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6493) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-06-13 |