| NPI | 1609096429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN F. JACOBSON President 305-595-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PSY2306) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |