| NPI | 1538785837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT MALIK DEHILI Licensed Psychologist 386-852-8097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |