| NPI | 1730624818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ACOSTA Owner 305-349-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY8453) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |