| NPI | 1609256833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PEREZ-SANTANA Psychologist/Manager 786-457-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7752) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |