NPI | 1679693121 |
---|---|
Entity Type | Organization |
Authorized Contact | CARY R SHOOKOFF Director President Psychologist 305-674-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 2924) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2009-12-23 |