| NPI | 1760864219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADDYS PRIETO Clinical Psychologist/President 954-802-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 5686) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |