| NPI | 1609147479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H RATHJENS Owner 561-790-7975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4666) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |