| NPI | 1649833443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA V PELLEGRINNI Manager 786-683-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |