| NPI | 1790217883 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARGOT BERROS Psychologist Manager 954-415-9868 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7629) | 
| Enumeration Date | 2017-03-29 | 
| Last Update Date | 2017-03-29 |