| NPI | 1740456300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JORDON CLARK Owner 954-960-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7620) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2010-09-20 |