| NPI | 1770816290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZI ROCHE President 305-266-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2018-10-24 |