NPI | 1811178387 |
---|---|
Former Legal Business Name | HUMAN FACTOR MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | JOSEPH JOHN CIMINO Owner President 954-755-4778 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0004734) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4734) |
Enumeration Date | 2007-11-26 |
Last Update Date | 2008-04-07 |