| NPI | 1659397289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PARISH Vice President 954-524-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6021) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4324) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |