| NPI | 1841345089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WOODMAN Treasurer 954-752-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0004786) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |