| NPI | 1609316272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE ZIMMERMAN Enrollment Specialist 954-366-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6914) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |