| NPI | 1790933604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A HERRERA President 305-445-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 0003733) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4487) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY 2120) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |