| NPI | 1750653259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO R. VIRSIDA Psycholgist/President 561-338-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY00003255) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |