| NPI | 1922394972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNA P. REIZEN Executive Director 786-556-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5916) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PY5916) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2012-07-09 |