| NPI | 1548312739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GIL VP Practice Development 954-745-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |