| 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 |