| NPI | 1720309438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNETTE CASTILLO President 305-300-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7799) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: FL PY7799) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |