| NPI | 1629275300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY XAVIER LANCELOTTA Director 305-668-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY4882) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |