| NPI | 1841998119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMAR E NUNEZ Clinical Psychologist 954-404-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |