| NPI | 1952784225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN CORNIDE President 954-443-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5595) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-07 |