| NPI | 1932243078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R. JACOBS President 954-563-9954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5128) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-06-10 |