| NPI | 1689982415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ALAZRACHI Vice President 305-915-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL Py7670) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: FL ME63070) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-12-01 |