| NPI | 1558416446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA VALERIE MAROTTA President 954-336-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY 0003973) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-03-16 |