| NPI | 1700158078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KUSHCH President 954-296-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5881) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |