| NPI | 1609166677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMINISA M SOLORZANO Crco 954-667-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-11-19 |