| NPI | 1619046836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEORA J. GARDNER President 561-414-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py0005116) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |