| NPI | 1568095586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILMARIE BAEZ Clinical Psychologist 954-257-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-19 |