| NPI | 1538378013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MILTON WEISE President 561-707-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 251S00000X Community/Behavioral Health (Licence: FL py0003680) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-05-08 |