| NPI | 1992128532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BURTON CAMPBELL Owner 954-707-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8968) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |