| NPI | 1659305571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWARD NASSAR CEO 321-751-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6228) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW3802) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-10-26 |